Oversupply & Unemployment in Orthopaedic Surgery with Dr. Simul Parikh

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Casting: the junior Ortho Pod

Ajay Shah

18 episodes

1 day ago

Casting is the Orthopaedic Surgery podcast for senior medical students and junior residents. Hosted by Ajay Shah (PGY-1, University of Toronto), featuring conversations with residents and faculty on a wide range of topics, including an evidence-based approach to common Orthopaedic Surgery injuries, medical education and innovation, and tips and tricks for survival and improvement during the trenches of a surgical residency.

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Oversupply & Unemployment in Orthopaedic Surgery with Dr. Simul Parikh

Casting: the junior Ortho Pod

27 minutes 55 seconds

4 years ago

Oversupply & Unemployment in Orthopaedic Surgery with Dr. Simul Parikh

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"When the truth is on your side, you have nothing to fear". Dr. Simul Parikh (https://twitter.com/ParikhSimul) is well-versed in the issue of physician over-supply, and an advocate for current trainees. I spoke to him about the damaging effects that over-supply has on patients, doctors, and systems. We delve into the root problems that cause over-supply and maldistribution, and cross-pollinate between efforts in Canada and the USA to synergize solutions to the critical issue of Orthopaedic Surgeon Under/Unemployment in Canada. See this fantastic article for an overview of the article (https://coa-aco.org/unemployment-and-underemployment-of-orthopaedic-surgeons/)

Timestamps:

2:10 - What is oversupply? What is substantial oversupply?

5:00 - How does oversupply affect patient care and clinical decision making?

7:30 - What effects does oversupply have on physician wellbeing?

10:15 - How does maldistribution occur? What does Canada do to address maldistribution in a country with low population density?

12:30 - How would changing institutional composition and mandates influence maldistribution?

17:15 - Why should we fix oversupply?

19:00 - What is the roadmap to fixing oversupply (1-acknowledgement, 2-institutional changes, 3-billing changes)

22:15 - What is the root cause of the growing oversupply?

24:45 - How can institutions keep the same workload without hiring more residents?

26:00 - What changes can be made to compensation to prevent the forces that lead to oversupply?

27:15 - What can trainees do to open up the conversation & advocate for themselves?

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